OBJECTID: 3885
HCC_FCT_ID: 13239
SITE_SOURCE_ID: D6288605-6163-451D-9695-B2EE876E1BDC
SITE_NM: Kaniksu CCBHC
UDS_NUM:
SITE_PHONE_NUM: 208-263-7101
SITE_URL:
TOT_OPER_HR_PER_WEEK: 50
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: E838FD21-F690-416F-8B41-06A9615962FA
GRANT_NUM: H80CS00302
GRANTEE_NM: BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: N
CH_SUB_PROG_IND: N
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: N
HCH_SUB_PROG_IND: N
SITE_ADDRESS_ID: 5466
SITE_ADDRESS_SOURCE_ID: 667C47C2-AE6E-47C7-90AB-48DF8DCEACE1
SITE_ESR_SOURCE_ID: D3DBE292-E2DE-4018-9737-E12FB4CB4E12
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1033 Baldy Mountain Rd
SITE_CITY: Sandpoint
SITE_STATE_ABBR: ID
SITE_ZIP_CD: 83864-9202
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Unknown
HCC_LOC_SETTING_ID: 7
HCC_LOC_SETTING_DESC: All Other Clinic Types
HCC_STATUS_ID: 1
HCC_STATUS_DESC: Active
HCC_LOC_ID: 1
HCC_LOC_DESC: Permanent
HCC_TYP_ID: 2
HCC_TYP_DESC: Service Delivery Site
HCC_OPER_ID: 1
HCC_OPER_DESC: Health Center/Applicant
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 017
COUNTY_NM: Bonner
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Bonner County
STATE_COUNTY_FIPS_CD: 16017
STATE_FIPS_CD: 16
STATE_NM: Idaho
US_SENATE_NM1: Mike Crapo
US_SENATE_NM2: James E. Risch
REGION_CD: 10
REGION_NM: Region 10
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: Idaho District 01
STATE_FIPS_CD_CONG_DIST_NUM: 1601
REPRESENTATIVE_NM: Russ Fulcher
REPRESENTATIVE_URL: https://fulcher.house.gov/
BPHC_SITE_NUM: BPS-H80-039408
BHCMISID:
FQHC_LAL_NUM:
FQHC_ORG_NM:
FQHC_ADDRESS:
FQHC_CITY:
FQHC_STATE_ABBR:
FQHC_ZIP_CD:
FQHC_ADMIN_CONTACT_NM:
FQHC_ADMIN_CONTACT_PHONE_NUM:
FQHC_ADMIN_CONTACT_EMAIL:
RURAL_IND: Y
GRANT_SOURCE_ID: F8A3D0EF-6833-4D89-B6C3-A6F4C0C5233D
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 10
STATE_ID: 13
COUNTY_ID: 560
CONG_DIST_ID: 9038
CMN_REGION_CD: 10
CMN_REGION_NM: Region 10
CMN_STATE_NM: Idaho
CMN_STATE_ABBR: ID
CMN_STATE_FIPS_CD: 16
CMN_STATE_COUNTY_FIPS_CD: 16017
CMN_COUNTY_NM_STATE_ABBR: Bonner County, ID
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1601
CMN_CONG_DIST_NM: Idaho District 01
CMN_ZIP_CD: 83864
CMN_CITY_NUM: Sandpoint, ID
LOC_NAME: 01-ESRI
SCORE: 100
APPROX_VALUE_CD: N
LOC_NAME_DESC: Data was matched at the Address level using AGOL
HCP_COVID19_TEST_CAP_STATUS: Yes
HCP_COVID19_DU_TEST_CAP_STATUS: No
HCP_COVID19_TELE_CAP_STATUS: Yes
HCP_COVID19_TELEHEALTH_CAP_TXT: As of 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information.
HCP_COVID19_TEST_CAP: As of 05/28/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -116.56341184699994
Y: 48.28717759300008


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